This document discusses the anatomy and assessment of rhinoplasty. It outlines the layers of the nose, including skin, muscle, and cartilage. It divides the nose into three sections - the upper, middle, and lower thirds. It also identifies red flags for patients such as those displaying SIMON traits, which could indicate unrealistic expectations of the procedure's outcome. Assessment involves examining the nose from multiple angles and measuring angles and distances to aid surgical planning.

1. Anatomy &
Assessment
Rhinoplasty
Mansoor Khan M.B.B.S
Plastic & Reconstructive
Surgery, Hayatabad Medical
Complex, Peshawar

2. Skin , subcutaneous tissue,
muscle, fascia, areolar tissue,
perichondrium

3. Upper 1/3
Bony vault,
Middle 1/3
Cartillagenous
vault,
Lower 1/3
Cartillagenous
vault,

13. Identify patients presenting
the mental traits denoted by
the psychiatric acronym
SIMON (single, immature,
male, over-expectant,
and narcissistic), which might
indicate a man over-valuing
the outcome of a rhinoplasty Narcissistic

14. G
O
R
N
E
Y
G
R
A
M

16. RT=SM

18. 130-140 Degrees
30-45 Degrees
90-100 Degrees
M=90-95, F=95-100

20. 2mm in female